Crusted (Norwegian) scabies following systemic and topical corticosteroid therapy

• Published in: Journal of Korean medical science Vol. 25; no. 1; pp. 188 - 191
• Main Authors: Binić, Ivana, Janković, Aleksandar, Jovanović, Dragan, Ljubenović, Milanka
• Format: Journal Article
• Language: English
• Published: Korea (South) The Korean Academy of Medical Sciences 01.01.2010; 대한의학회
• Subjects: Administration, Topical; Antiparasitic Agents - therapeutic use; Case Report; Dermatitis, Exfoliative - diagnosis; Dermatitis, Exfoliative - therapy; Diagnostic Errors; Female; Glucocorticoids - administration & dosage; Humans; Middle Aged; Scabies - diagnosis; Scabies - drug therapy; Skin - pathology; 의학일반; Sarcoptes Scabiei; Therapy; Diagnosis
• ISSN: 1011-8934; 1598-6357
• DOI: 10.3346/jkms.2010.25.1.188

It is a case study of a 62-yr-old female with crusted (Norwegian) scabies, which appeared during her treatment with systemic and topical corticosteroid therapy, under the diagnosis of erythroderma. In the same time, the patient had been suffered from hypothyoidism, and her skin changes were misdiagnosed, because it was thought that they are associated with her endocrine disorder. Suddenly, beside the erythema, her skin became hyperkeratotic, with widespread scaling over the trunk and limbs, and crusted lesions appeared on her scalp and ears. The microscopic examination of the skin scales with potassium hydroxide demonstrated numerous scabies mites and eggs. Repeated topical treatments with lindan, benzoyl benzoat and 10% precipitated sulphur ointment led to the complete resolution of her skin condition.